A nurse manager is reviewing a group of incident reports as part of a quality improvement initiative.

Exhibits

For each incident report, click to specify if the findings in the incident report indicate a near miss or an adverse event. There must be at least 1 selection in every row. There does not need to be a selection in every column.

Incident report 1

Incident report 2

Incident report 3

Incident report 4

Incident report 5

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"B"},"E":{"answers":"B"}}

Near miss:

Incident Report 1: The nurse identified the client's allergy before administering azithromycin, preventing an adverse reaction. Holding the medication and notifying the provider ensured patient safety, making this a near miss rather than an adverse event.

Adverse Event:

Incident Report 2: The client did not receive prescribed prophylactic antibiotics during labor, leading to neonatal sepsis. The lack of antibiotic administration increased the risk of serious complications, making this an adverse event with potential long-term consequences.
Incident Report 3: A tenfold dosing error led to the administration of 60 units instead of 6 units of insulin, resulting in severe hypoglycemia and unresponsiveness. This critical medication error placed the client at significant risk for neurological damage or death, classifying it as an adverse event.
Incident Report 4: A critically low platelet value was reported but not communicated to the provider, delaying intervention and leading to a coma. The failure to act on critical lab results contributed to a preventable deterioration in the client’s condition, making this an adverse event.
Incident Report 5: Despite being identified as a fall risk, the client sustained a fall due to a malfunctioning call bell, leading to an injury. The failure to address the defective equipment compromised patient safety, making this an adverse event that could have been prevented.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B","C"]

Explanation

A. Speech-language pathologist: A speech-language pathologist specializes in assessing and treating swallowing disorders (dysphagia). They conduct swallowing evaluations and recommend appropriate strategies, exercises, and diet modifications to ensure safe swallowing and reduce the risk of aspiration.

B. Occupational therapist: An occupational therapist helps clients regain the ability to perform daily activities, including self-feeding. They provide adaptive strategies, recommend assistive devices, and work on improving fine motor skills to enhance independence during meals.

C. Dietitian: A dietitian assesses the client’s nutritional needs and recommends appropriate diet modifications, such as texture-altered foods or thickened liquids, to ensure adequate nutrition while reducing the risk of choking or aspiration. They collaborate with other team members to create a safe and balanced meal plan.

D. Psychologist: While a psychologist can help address emotional and psychological challenges following a stroke, they are not directly involved in managing swallowing difficulties. Their role focuses more on mental health, coping strategies, and emotional adjustment rather than dysphagia management.

E. Pharmacy technician: A pharmacy technician primarily assists with medication dispensing and does not have a role in evaluating or managing swallowing difficulties. Medication concerns related to swallowing would be addressed by a pharmacist rather than a pharmacy technician.

A. Perform a testicular self-examination weekly. B. Do not palpate the epididymis when performing a testicular self-examination. C. Expect testicles to be uniform in consistency when performing a testicular self-examination. D. Perform a testicular self-examination after a cool shower.

Correct Answer is C

Explanation

A. The recommendation is monthly, not weekly. Weekly exams are unnecessary and may increase anxiety.

B. Do not palpate the epididymis when performing a testicular self-examination: It is important to palpate the entire testicle, including the epididymis, during a self-examination. Understanding how to properly examine all parts of the testicles helps individuals recognize what is normal and identify any abnormalities.

C. Normal testicles should feel smooth, firm, and uniform in consistency. A hard, painless lump or any change in size/consistency should be reported.

D. Perform a testicular self-examination after a cool shower: It is generally recommended to perform a testicular self-examination after a warm shower. The warmth helps relax the scrotum, making it easier to examine the testicles thoroughly and detect any abnormalities.

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Naxlex Comprehensive Predictor Exams

A newly licensed nurse is giving a change-of-shift report using Introductions, Situation, Background, Assessment, Recommendation (ISBAR) to an oncoming nurse. Which of the following statements by the newly licensed nurse should be included in the "Background" portion of the report?

Correct Answer is ["A","B","C"]

Explanation

A school nurse is developing a teaching plan about testicular cancer for a group of clients. Which of the following information should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is caring for a newborn in the nursery following a circumcision. The newborn's grandparent, who does not have an identification bracelet, requests to take the newborn to their guardian's room. Which of the following actions should the nurse take?

A nurse in a clinic is caring for a client who has a urinary tract infection (UTI). Which of the following prescriptions should the nurse verify with a provider?

A nurse is caring for a client who is requesting to leave the facility against medical advice (AMA). The client states, "I am ready to go immediately." Which of the following actions should the nurse take first?

A newly licensed nurse is giving a change-of-shift report using Introductions, Situation, Background, Assessment, Recommendation (ISBAR) to an oncoming nurse. Which of the following statements by the newly licensed nurse should be included in the "Background" portion of the report?

A nurse manager of a rural clinic is orienting a new employee. Which of the following information should the nurse include as a characteristic of rural health?

A nurse manager is teaching a group of staff members about proper body mechanics. Which of the following statements by a staff member indicates an understanding of the teaching?

The guardian of a child who has a terminally illness tells a nurse that they want to take their child home. Which of the following responses should the nurse make?

A community health nurse is reviewing primary prevention strategies for West Nile virus with a group of clients in a rural health clinic. Which of the following instructions should the nurse include?